Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,653.62 / $5,389.00	Facility		$800.00	$1,653.62	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.41 / $977.45 / $1,653.62	Professional		$868.41	$977.45	$1,653.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,020.16 / $9,915.56 / $23,066.57	Facility		$6,020.16	$9,915.56	$23,066.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,802.40 / $1,802.40 / $1,802.40	Professional		$1,802.40	$1,802.40	$1,802.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $905.13 / $1,244.11 / $1,788.18	Professional		$905.13	$1,244.11	$1,788.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $932.95 / $1,450.32 / $3,763.08	Professional		$932.95	$1,450.32	$3,763.08
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,034.32 / $1,102.58 / $1,198.04	Professional		$1,034.32	$1,102.58	$1,198.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,382.36	Professional		$32.34	$32.34	$1,382.36
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,975.00 / $8,003.00	Facility		$930.00	$3,975.00	$8,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $912.35 / $1,264.69 / $2,299.96	Professional		$912.35	$1,264.69	$2,299.96